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Survey Provided
by
Alzheimer's Disease Advisory Committee (ADAC)
Department of Elder Affairs

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* 1. What type of ALF License do you have? 

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* 2. Is there a Memory Care Unit in your ALF?

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* 3. What is your staffing ratio in the memory care unit?

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* 4. Is there a protocol at admission to identify the patient has a possible diagnosis of dementia?

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* 5. Do you have a protocol for referring patients exhibiting dementia symptoms to a state designated Memory Disorder Clinic?

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* 6. Do you provide ongoing training for the staff on dementia, specifically related to challenging behaviors?

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* 7. Do you have a care policy specific to care for a person living with Dementia.

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* 8. Is there a protocol to identify and treat adverse drug reactions in patients with dementia?

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* 9. Is the staff trained to use visual cues from a person with dementia who can’t express pain or feelings verbally?

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* 10. Is there a non-pharmacological protocol in treating agitated patients with dementia?

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* 11. If you have any additional comments, please share them in the box below:

0 of 11 answered
 

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